# MALAMA YOGA & NATURE-BASED THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508558453
- **Authorized official:** TABITHA TATUM OTR/L (FOUNDER, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (808) 757-5301

## Contact information

- **Practice address:** 1711A OLINDA RD, MAKAWAO, HI 96768-7124
- **Practice address phone:** (808) 757-5301
- **Practice address fax:** (808) 707-3152
- **Mailing address:** PO BOX 1102, MAKAWAO, HI 96768-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023